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目的观察丙泊酚复合瑞芬太尼静脉麻醉在无痛人流术中的安全性及镇痛效果。方法选择无痛人流及常规人流各143例,作为丙泊酚加瑞芬太尼复合麻醉实验组和对照组,观察实验组患者用药后的镇痛效果、生命体征、人流综合征、术中出血、子宫收缩、宫颈松弛等情况。结果丙泊酚加瑞芬太尼用于人工流产镇痛,镇痛效果达95%以上,效果明显优于对照组,两组比较差异有统计学意义(P<0.01)。结论丙泊酚加瑞芬太尼用于人工流产镇痛效果好,患者不良反应少,可以减少并发症的发生及麻醉药物的用量,为人流术较为理想的麻醉方法。
Objective To observe the safety and analgesic effect of intravenous propofol combined with remifentanil in painless abortion. Methods 143 cases of painless and routine abortion were selected as propofol plus remifentanil anesthesia experimental group and control group. The analgesic effect, vital signs, flow syndrome, intraoperative bleeding , Uterine contraction, cervical relaxation and so on. Results Propofol and remifentanil were used in analgesia induced by artificial abortion. The analgesic effect was over 95%. The effect was better than that of the control group. There was significant difference between the two groups (P <0.01). Conclusions Propofol plus remifentanil is effective in analgesia induced by induced abortion. It has fewer adverse reactions and can reduce the incidence of complications and the dosage of anesthetic drugs. It is an ideal anesthetic method for abortion.